<!doctype html>
<html>

	<head>
		<meta charset="UTF-8">
		<title>申请参与品酒会</title>
		<meta name="viewport" content="width=device-width,initial-scale=1,minimum-scale=1,maximum-scale=1,user-scalable=no" />
		<include file="public/comm" />
	</head>

	<body>
		<header class="mui-bar mui-bar-nav fs_xl">
			<a class="mui-action-back mui-icon mui-icon-left-nav mui-pull-left"></a>
			<h1 class="mui-title fs_xl">申请参与品酒会</h1>
		</header>
		<include file="public/station_nav" />
		<div class="mui-content fs_xl" style="padding-bottom: 3em;">
			<form class="mui-input-group" method="post" style="padding-bottom: 1em;">
				<div class="mui-input-row" style="margin-top: 1em;">
					<label class="fs_m">申请者姓名：</label>
					<input type="text" name="user_name" class="mui-input-clear fs_m" placeholder="申请者姓名">
				</div>
				<div class="mui-input-row">
					<label class="fs_m">申请者ID：</label>
					<input type="text"  value="{$user_id|sprintf='%09d',###}" disabled class="fs_m" placeholder="申请者ID">
				</div>
				<div class="mui-input-row">
					<label class="fs_m">申请者年龄：</label>
					<input type="text" name="user_year" class="mui-input-clear fs_m" placeholder="申请者年龄">
				</div>
				<div class="mui-input-row">
					<label class="fs_m">联系方式：</label>
					<input type="tel" name="mobile" class="mui-input-clear fs_m" placeholder="您的手机号码">
				</div>
				<div class="mui-input-row">
					<label class="fs_m">单位名称：</label>
					<input type="text" name="company" class="mui-input-clear fs_m" placeholder="单位名称">
				</div>
				<div class="mui-input-row">
					<label class="fs_m">职位：</label>
					<input type="text" name="job" class="mui-input-clear fs_m" placeholder="职位">
				</div>
				<div class="mui-input-row">
					<label class="fs_m">喜爱的香型：</label>
					<input type="text" name="aroma" class="mui-input-clear fs_m" placeholder="喜爱的白酒香型">
				</div>
				<div class="mui-input-row">
					<label class="fs_m">常喝的品牌：</label>
					<input type="text" name="brand" class="mui-input-clear fs_m" placeholder="常喝的白酒品牌">
				</div>
				<div class="mui-input-row">
					<label class="fs_m">常喝的度数：</label>
					<input type="text" name="degrees" class="mui-input-clear fs_m" placeholder="常喝的白酒酒精度数">
				</div>
				<div class="mui-button-row" style="margin-top: 0.8em;">
					<button type="submit" class="mui-btn mui-btn-primary" onclick="">提交申请</button>&nbsp;&nbsp;
					<button type="button" class="mui-btn mui-btn-danger" onclick="return false;">取消申请</button>
				</div>
			</form>
		</div>
	</body>

</html>